Why Does Adenomyosis Cause Menstrual Pain?

We generally refer to menstrual pain as cyclical pain in the abdomen or pain leading to discomfort in the lumbar-sacral region, which occurs when a woman is having her period or around the time of her period. 

However, the dysmenorrhea of patients with adenomyosis is more serious than that of ordinary dysmenorrhea in terms of time, location, and the nature and degree of pain. For most patients, the pain usually starts 1-2 days before the onset of menstruation, is most intense on the first day of menstruation, decreases gradually in the later stages, and is completely relieved at the end of menstruation.

Adenomyosis is a condition when the endometrial glands and mesenchyme infiltrate the myometrium. 15% are associated with endometriosis and 50% with fibroids, and it occurs most often in menstruating women between the ages of 30 and 50. The main symptoms are excessive menstrual flow, prolonged menstrual period and progressive dysmenorrhea, mostly located in the middle of the lower abdomen and partly in the lumbosacral region.

Why does adenomyosis cause menstrual pain?

Endometriosis

Adenomyosis causing dysmenorrhea is directly related to the cause of the disease. The disease is very much related to endometrial basal cell hyperplasia. The patient will have the problem of endometriosis, and the ectopic endometrium will go inside the myometrium. At the onset of menstruation, the ectopic endometrium will significantly enlarge the uterus. 

Once the uterus is enlarged, it creates more tension and pain can ensue. The patient's pain symptoms usually show a marked, progressive increase. Therefore, if the dysmenorrhea is obvious and has not been relieved, it is important to take it seriously and seek medical attention.

Role of prostaglandins

Ectopic endometrium will produce a lot of inflammatory factors, which will lead to the synthesis of a large number of prostaglandins. Under the action of prostaglandins, they cause contraction of the uterine arteries, and the uterus in this state will experience violent contractions. Due to the interaction of the two, it leads to dysmenorrhea.

The painful symptoms produced during menstruation can be severe and unbearable. In some cases in women with adenomyosis, the pain may last for half a month or so and may even be persistent and not limited to the menstrual period, thus causing great disturbance to the patient's life.

Adhesion of surrounding tissues

In addition to the above reasons, adenomyosis may also cause adhesion of surrounding tissues, thus causing aseptic inflammation, which is also a factor causing pain.

As we can see, adenomyosis is very harmful. Besides the symptoms of pain, it may also cause other diseases. For example, the uterus's obvious enlargement will cause the adjacent organs' compression. If the bladder is compressed, the patient will have frequent and urgent urination symptoms.

For the treatment of adenomyosis, patients can choose traditional Chinese medicine (TCM) treatment, which is generally more effective but will take longer and should not be rushed.

Patients can choose the Fuyan Pill, composed of more than 50 kinds of natural herbs, which clears heat and removes toxins, activates blood circulation and removes blood stasis. It can eliminate menstrual cramps and other symptoms, and will not adversely affect the body.

At the same time, patients should also pay attention to diet and exercise in daily life. They can eat hot food, drink lots of water, and not eat too greasy food. Before and after menstruation, they must pay attention to avoid eating spicy, sour, and cold food. Patients can also condition their bodies by walking, doing yoga, and other aerobic exercises daily. Do not do too strenuous exercise, and do not exert too much.

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